IntroductionStress as the body's response to adverse stimulus is recognized as one of the key problems in basic and clinical neurological studies. Stress is an indispensable component of modern nursing with its low doses being desirable, however, prolonged stress is detrimental to health increasing the risk of chronic disease i.e., hypertension, cardiovascular diseases, electrolyte disturbances, occupational burnout, depression, anxiety disorders. The implementation of certain techniques and therapeutic methods may have a stressful effect from the point of view of practice and the patient's condition.MethodsThe authors undertook the study to assess the intensity of the perceived stress in the group of nurses dealing with wound care in the perspective of implementing wound debridment using Lucilia sericata larvae. The study group consisted of 290 nurses specialized in chronic wounds undergoing training at the Postgraduate Training Center of Nurses and Midwives in Rzeszów, out of the entire group of 1.136 individuals participating in training courses organized in Poland in 2020–2021. The study used the diagnostic survey method, the research tool was a scientific research protocol consisting of tools (MDT perception questionnaire, perceived stress scale (PSS-10).ResultsCertain differences in the level of stress in the study sample were observed between age categories, but they were not statistically significant. The greatest differences between the levels of stress in the study sample were observed between people who completed treatment courses and those who did not complete these courses. The higher the stress level, the lower the willingness to undertake such therapy. The analysis of grouped data leads to interesting observations. There were statistically significant differences in the score in the MDT10 scale in the categories of people with different stress levels. The highest readiness to implement MDT was observed in the category of people with the lowest perceived level of stress.ConclusionsThe level of professional experience related to postgraduate education increases opportunities addressing new professional challenges. The level of perceived stress may influence decisions related to the use of biological therapy. The higher the level of stress, the lower the readiness to undertake MDT.
Acute coronary syndromes (ACS), including unstable angina (UA) and myocardial infarction (MI), are clinical symptoms of heart disease, called ischemic heart disease (IHD), and are important causes of death worldwide and in Poland. Medical associations including the European Cardiac Society (ECS) and the American Heart Association (AHA) recognize psychological factors, including depression, anxiety, and stress, as important factors that influence progression of IHD among patients after ACS. Data are accumulating, showing that psychophysiological interventions and relaxation exercises improve clinical outcome in cardiac patients. In the medical literature, however, a number of clinical randomized, controlled studies document the effectiveness of practical medical recommendations (evidence-based medicine, EBM), but very little available data and almost no evidence-based guidelines support physician use of practical implementation of psychophysiological practice or relaxation. The present article describes a study in a Polish hospital cardiology unit, utilizing a psychophysiological stress profile (PSP) to assess patients after myocardial infarction, to assess which patients can utilize paced diaphragmatic breathing as home practice without extended biofeedback training, and which require more extensive biofeedback training. The article discusses safety issues in the use of a PSP in cardiac populations, and possible practical consequences of using a psychophysiological stress profile in clinical cardiac practice.
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